Active NPI
Miguel a Mujica-Baella MD PA
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1881252088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MIGUEL A MUJICA-BAELLA MD PA
- Practice address
- 15590 SW 42ND LN
Miami, FL 33185-4209 - Phone
- (305) 905-9547
- Fax
- (786) 513-2700
- NPI assigned
- Jun 3, 2019
- Last updated
- Jun 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel A Mujica-Baella, MD
- Title
- Owner
- Phone
- (305) 905-9547
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
15590 SW 42ND LN
Miami, FL 33185-4209
Mailing address
15590 SW 42ND LN
Miami, FL 33185-4209
Phone (305) 905-9547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003023100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MMBAELLA@YAHOO.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559520000000",
"number": "1881252088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15590 SW 42ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854209",
"telephone_number": "305-905-9547",
"fax_number": "786-513-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15590 SW 42ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854209",
"telephone_number": "305-905-9547",
"fax_number": "786-513-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGUEL A MUJICA-BAELLA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A",
"authorized_official_last_name": "MUJICA-BAELLA",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-905-9547",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003023100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MMBAELLA@YAHOO.COM",
"affiliation": "N",
"address_1": "15590 SW 42nd Ln",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331854209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.